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Work Activity Work Order Page � <br /> 8/9/2010 9:55 <br /> ISSU2d By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Datefssued �Nsno�o <br /> Fund ao� Account s Program »p Function »y Activity 6?5 <br /> Program <br /> Title REPAIR.5 iNCH SERVICE 1509 23RD ST 710119675 <br /> Work Order No 20102136 P�OJBCf Activiry Type CORRECTIVE A�IAiNTENANCE St8�U3 CL <br /> Status �nsnoto Time tz:o9 Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information — <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> ciry zip <br /> Subdivision Map Book Map Reference <br /> Probiem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled?ime <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTAl.LED SETTER AND JUMPER WITH MOLDED BOX <br /> Recommended Action <br /> Approved By wo� WEAVER,DEAN L. JOb COS�If1fOfR18�lOfl(Y/N) <br /> Start Date _ i � _ Time _ _ Date Completed ntelzoto Permit No <br /> Completed By _ Time _ Follow UpT <br /> ll <br />